Active NPI
Alyssa Nikole Kist, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Madison, NJ
National Provider Identifier
1588554489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22DI03102700
- Practice address
- 333 Main St
Madison, NJ 07940-2370 - Phone
- (973) 822-2308
- NPI assigned
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22DI03102700 | NJ | Primary |
Addresses
Primary practice location
333 Main St
Madison, NJ 07940-2370
Mailing address
109 Elk CT
Blue Bell, PA 19422-1458
Phone (215) 630-3731
Other practice location 1
1129 Bloomfield Ave
West Caldwell, NJ 07006-7127
Phone (973) 575-5707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03102700 | NJ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1588554489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 ELK CT",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194221458",
"telephone_number": "215-630-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MAIN ST",
"city": "MADISON",
"state": "NJ",
"postal_code": "079402370",
"telephone_number": "973-822-2308"
}
],
"practiceLocations": [
{
"address_1": "1129 Bloomfield Ave",
"address_purpose": "LOCATION",
"city": "West Caldwell",
"state": "NJ",
"postal_code": "070067127",
"country_code": "US",
"telephone_number": "973-575-5707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIST",
"first_name": "ALYSSA",
"middle_name": "NIKOLE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-03",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "22DI03102700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, NJ
- Harvey Willard Kaufman, M.D.
- Brigitte Kelly, LCSW
- Barbara Kennard, MSW, LCSW
- William White Kennard Jr., M.S.W., L.C.S.W.
- Harvey Ronald Kennedy, M.D.
- Melissa Klika Mack, PSY.D.
- Robert Konieczny, D.C.
- Yvonne Michelle Krasner-Cohen, LPC, LCADC
- Krieck Enterprises LLC (Living Free Home)
- Krieck Enterprises LLC (Homecare America)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.